Denied claims and billing errors cost your agency thousands every month. HelloMDs provides expert home health billing services that fix that fast. Our AAPC-certified team handles your complete revenue cycle, so you stop losing money and start getting paid on time.
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Home health billing is more complex than standard medical billing. Agencies are reimbursed based on documented clinical needs and 30-day PDGM payment periods, not simply “per hour worked”.
Medicare’s Patient Driven Groupings Model (PDGM) requires a 30-day payment period of billing rather than visit based billing. PDGM payment depends on patient clinical characteristics, timing, functional impairment, and comorbidities, not just visits.
OASIS (Outcome and Assessment Information Set) assessments drive reimbursement, quality reporting, and audit compliance, meaning documentation must be precise and defensible.
At HelloMDs, we handle your entire home health care billing process, from eligibility verification to final payment collection. Our AAPC-certified team knows Medicare, Medicaid, and commercial payer rules completely. We help your agency collect every dollar it earns.
Every claim is handled by AAPC-certified coders who specialize in home health billing.
We align clinical documentation with payer rules for accurate reimbursement.
Our clean claims and active follow-ups can improve cash flow significantly.
Flexible plans from just 2.95% of monthly collections with no hidden fees.
A billing specialist assigned exclusively to your account.
We serve agencies across all 50 states and U.S. territories.
We handle billing for registered nurses (RNs) and licensed practical nurses (LPNs), including wound care, IV therapy, medication management, and chronic disease monitoring. We submitted every claim code correctly and on time.
We manage billing for all rehabilitation therapy services, including physical, occupational, and speech therapy. Our team applies accurate CPT codes and proper documentation for full reimbursement.
We bill for Activities of Daily Living assistance, bathing, dressing, grooming, toileting, and meal preparation. Our team follows every state’s Medicaid PCS guideline to keep your claims compliant.
We capture and bill every hour of companion and attendant care, medication reminders, supervision, light housekeeping, and daily support. No billable hour goes unsubmitted.
| Challenge | HelloMDs Solution |
|---|---|
| Claims denied under PDGM rules | Certified coders apply correct PDGM groupings every time. |
| OASIS documentation rejected | We review every OASIS data and document before submission. |
| NOA/RAP filing missed or late | We filed the Notice of Admission and RAP within the required timeframes. |
| Staff are overwhelmed with AR follow-up | Dedicated team tracks every unpaid claim to resolution. |
| Slow reimbursements are hurting cash flow | Clean claims mean up to 25% faster payments. |
| High in-house billing costs | Plans from just 2.95% on monthly collections. |
When you partner with HelloMDs, here are the things that happen:
We verify insurance coverage before every patient visits.
Certified coders ensure every service is coded correctly.
We check OASIS accuracy to prevent Medicare claim rejections.
Electronic and paper submissions across all payer types.
Every payment is recorded and reconciled in real time.
We identify root causes and resubmit corrected claims fast.
Our team tracks every unpaid claim until resolution.
Full transparency through performance dashboards at all times.
Lower billing costs (plans from 2.95% on collections).
Fewer denials, certified coders catch errors before submission.
Faster payments and clean claims mean quicker reimbursements.
Zero overhead, no staff, no software, no training costs.
Full compliance with HIPAA, CMS, and PDGM is always covered.
Stop losing revenue to denied claims and billing delays. HelloMDs delivers home health billing services that are accurate, compliant, and built to grow your agency nationwide.
It covers eligibility verification, OASIS review, ICD-10 coding, NOA/RAP submission, claims submission, payment posting, denial management, and full AR follow-up across all payer types.
No, the home health billing is not “charge per hour worked” like a timesheet. Payment depends on coded services, documented medical necessity, payment models like PDGM, and payer rules.
Home health services are reimbursed by:
Each payer has its own billing requirements and documentation standards.
Denials often result from documentation gaps, coding errors, missed NOA/RAP filing, eligibility issues, or incomplete OASIS data.
Yes, OASIS is a required standardized assessment tool used to collect patient data that influences payment classification under PDGM. Accurate OASIS documentation helps determine reimbursement levels and reduce claim denials.
HelloMDs handle Medicare, Medicaid, Medicare Advantage, VA, workers’ comp, commercial insurers, and state plans with payer-specific rules.
Payment timelines vary by payer and documentation accuracy, but clean, compliant claims typically get processed faster, often within several weeks for Medicare.
